MANGA TELIDEVARA

MONTGOMERY, TX
NPI1497474373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1090732)
Enumeration Date2022-08-24
Last Update Date2022-08-24
Business Address
Ms. MANGA TELIDEVARA NP
615 WORSHAM ST
MONTGOMERY, TX 77316-4497
Phone number: 281-650-0945
Mailing Address
Ms. MANGA TELIDEVARA NP
615 WORSHAM ST
MONTGOMERY, TX 77316-4497
Phone number: 281-650-0945
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